| NPI | 1104474816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 097515) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104718) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-04-19 |